NPIMap

Organization Active NPI

Specialized Assistance Services, NFP

  • Methadone Clinic
  • Manteno, IL
National Provider Identifier
1427592013
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
A-0584-0002-A Issued in IL
Legal business name
SPECIALIZED ASSISTANCE SERVICES, NFP
Practice address
333 W Evergreen St
Manteno, IL 60950-9329
Phone
(815) 468-6556
Fax
(815) 468-1098
NPI assigned
Dec 15, 2016
Last updated
Dec 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. A. Doris Reynolds, JD
Title
President and Ceo
Phone
(312) 808-3218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X A-0584-0002-A IL Primary

Addresses

Primary practice location

333 W Evergreen St
Manteno, IL 60950-9329

Mailing address

2630 S Wabash Ave
Chicago, IL 60616-2825
Phone (312) 808-3218

National Provider Directory

National Provider Directory
Tax ID family
Specialized Assistance Services NFP3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2630 S Wabash Ave
Chicago, IL 60616
Phone (312) 808-3210

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1427592013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 S WABASH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162825",
            "telephone_number": "312-808-3218",
            "fax_number": "312-791-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W EVERGREEN ST",
            "city": "MANTENO",
            "state": "IL",
            "postal_code": "609509329",
            "telephone_number": "815-468-6556",
            "fax_number": "815-468-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED ASSISTANCE SERVICES, NFP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "A.",
        "authorized_official_middle_name": "DORIS",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "312-808-3218",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "IL",
            "license": "A-0584-0002-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteno, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.